Alcohol sclerotherapy to treat vascular malformations in the oral cavity.

Abstract

OBJECTIVE:

To present our experience in treating vascular malformations in the oral cavity solely by injecting ethanol into the lesions.

MATERIAL AND METHODS:

We treated 26 patients (12 men and 14 women) with oral malformations. The diagnosis was based on clinical findings (n=26), magnetic resonance imaging studies (n=19), angiography findings (n=5), and direct puncture venography (n=2). To achieve sclerosis, we administered absolute ethanol through direct puncture. All interventions were performed under deep sedation.

RESULTS:

The vascular malformations treated ranged from 7mm to 60mm (median: 24.5mm) in maximum diameter and had been present in the oral cavity for 0.2 to 54 years (mean: 13.6 years). The median age of the patients was 44.5 years (range: 12-87 years). The reason for treatment of the malformation was: an increase in size (n=8), local bleeding (n=11), risk of bleeding during dental extraction (n=5), pain (n=1), and esthetic purposes (n=3). Lesions were located in the mucosa of the cheek (n=12), in the facial gingiva (n=5), in the labial mucosa (n=6), in the tongue (n=3), in the pterygomandibular region (n=1), and in the palate (n=1). The median dose of ethanol was 3.2mL. Twenty lesions disappeared after a single injection session, five after two sessions, two after three sessions, and one after five sessions. In 20 cases all signs of the lesions disappeared, in 6 a bluish macule persisted, and in 2 a mass effect persisted. The symptoms improved in all patients. Only transient complications of sclerotherapy were observed: local inflammation, perioral paresthesia in two patients, and necrosis of the mucosa of the cheek in one.

CONCLUSIONS:

Alcohol sclerotherapy is an efficacious procedure for treating vascular malformations in the oral cavity.

• Authors: A Talens Ferrando, S Ferrer Mengual, A González-Cruz Soler, V Martínez Sanjuán, R Poveda Roda, J M Sanchis Bielsa, J V Bagán Sebastián
• Journal: Radiologia (Radiologia) 2013 Nov-Dec Vol. 55 Issue 6 Pg. 514-22 ISSN: 1578-178X [Electronic] Spain
• PMID: 22425358 (Publication Type: Journal Article)
• Copyright: Copyright © 2011 SERAM. Published by Elsevier Espana. All rights reserved.

Chemical References

• Ethanol

Topics

• Adolescent
• Adult
• Aged
• Child
• Ethanol (administration & dosage)
• Female
• Humans
• Injections, Intralesional
• Male
• Middle Aged
• Mouth (blood supply)
• Retrospective Studies
• Sclerotherapy (methods)
• Vascular Malformations (therapy)
• Young Adult